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Individual

DEVAN MARISSA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
841 STERLING PKWY STE 120, LINCOLN, CA 95648-7324
(916) 645-3388
Mailing address
841 STERLING PKWY STE 120, LINCOLN, CA 95648-7324
(916) 645-3388

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057655
PA
363A00000X
Physician Assistant
Primary
PA58731
CA

Other

Enumeration date
07/14/2015
Last updated
12/25/2023
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